Healthcare Provider Details

I. General information

NPI: 1861468555
Provider Name (Legal Business Name): YEHUDA BAR ZVI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 SHERIDAN ST
HOLLYWOOD FL
33021-3552
US

IV. Provider business mailing address

4420 SHERIDAN ST
HOLLYWOOD FL
33021-3552
US

V. Phone/Fax

Practice location:
  • Phone: 954-860-8808
  • Fax: 954-860-8857
Mailing address:
  • Phone: 954-860-8808
  • Fax: 954-860-8857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberME112840
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number190448
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME112840
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: